Document Detail

Diagnosing and treating bleeding portal hypertensive duodenopathy.
MedLine Citation:
PMID:  16796444     Owner:  NLM     Status:  MEDLINE    
Portal hypertensive duodenopathy is a rare condition related to liver cirrhosis; there is little in the literature about its clinical significance and management. It seems to be endoscopically and histologically similar to portal hypertensive gastropathy, which is well defined. We report the case of a patient, initially treated for acute bleeding resulting from the rupture of esophageal varices, who developed an atypical endoscopic picture of portal hypertensive duodenopathy over a 6-month period. After microscopic definition of the disease we found chronic bleeding which required blood transfusions. Medical treatment did not solve the problem. We describe an approach using the argon plasma coagulator.
Giuseppe Piccinni; Anna Angrisano; Andrea Marzullo; Michele Nacchiero
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of laparoendoscopic & advanced surgical techniques. Part A     Volume:  16     ISSN:  1092-6429     ISO Abbreviation:  J Laparoendosc Adv Surg Tech A     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-06-26     Completed Date:  2006-11-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9706293     Medline TA:  J Laparoendosc Adv Surg Tech A     Country:  United States    
Other Details:
Languages:  eng     Pagination:  294-6     Citation Subset:  IM    
Department of Application in Surgery of Innovative Technologies, University of Bari, Bari, Italy.
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MeSH Terms
Duodenal Diseases / diagnosis*,  etiology,  surgery*
Esophageal and Gastric Varices / diagnosis*,  etiology,  surgery*
Hypertension, Portal / diagnosis*,  etiology,  surgery*
Liver Cirrhosis / complications*

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